| NPI | 1902427198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100305) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW17126) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2021-06-29 |